<title>user管理--开通权限订单</title>

<div class="layui-fluid">
  <form class="layui-form" lay-filter="formSet">
    <div class="layui-row layui-col-space10 layui-form-item" id="popupViewUserOrder"></div>
    <script id="popupTplUserOrder" type="text/html">
      <div class="layui-row layui-col-space10 layui-form-item">
        <div class="layui-col-md6">
          <label for="" class="layui-form-label">数量</label>
          <div class="layui-input-block">
            <input type="number" name="count" value="{{d.count||''}}" class="layui-input" placeholder="请输入" autocomplete="off" lay-verify="required">
          </div>
        </div>
        <div class="layui-col-md6">
          <label for="" class="layui-form-label layui-form-label--lg">总金额（元）</label>
          <div class="layui-input-block">
            <input type="number" name="amount" value="{{d.amount||''}}" class="layui-input" placeholder="请输入" autocomplete="off" lay-verify="required">
          </div>
        </div>
        <div class="layui-col-md6">
          <label for="" class="layui-form-label">收货地区</label>
          <div class="layui-input-block">
            <input type="text" autocomplete="on" class="layui-input" id="city-picker-order" name="area_name" readonly="readonly" data-toggle="city-picker" placeholder="请选择" lay-verify="required">
          </div>
        </div>
        <div class="layui-col-md6">
          <label for="" class="layui-form-label">详细地址</label>
          <div class="layui-input-block">
            <input type="text" name="address" value="{{d.receiver_address||''}}" class="layui-input" placeholder="请输入" autocomplete="off" lay-verify="required">
          </div>
        </div>
        <div class="layui-col-md6">
          <label for="" class="layui-form-label">收货人姓名</label>
          <div class="layui-input-block">
            <input type="text" name="receiver_name" value="{{d.realname||''}}" class="layui-input" placeholder="请输入" autocomplete="off" lay-verify="required">
          </div>
        </div>
        <div class="layui-col-md6">
          <label for="" class="layui-form-label">收货人手机</label>
          <div class="layui-input-block">
            <input type="text" name="mobile" value="{{d.mobile||''}}" class="layui-input" placeholder="请输入" autocomplete="off" lay-verify="required">
          </div>
        </div>
        <input type="hidden" name="user_id" value="{{d.user_id||''}}">
        <input type="hidden" name="user_type" value="{{d.user_type||''}}">
      </div>
    </script>
    <div class="layui-form-item m-form-footer g-hide">
      <button type="submit" lay-submit lay-filter="submitBtnOrder" class="layui-btn">确定</button>
    </div>
  </form>
</div>